{"id":3318,"date":"2026-10-24T22:20:44","date_gmt":"2026-10-24T22:20:44","guid":{"rendered":"https:\/\/remotion.rehab\/?p=3318"},"modified":"2026-10-24T22:30:16","modified_gmt":"2026-10-24T22:30:16","slug":"seated-digital-rehabilitation-goals-adaptations","status":"publish","type":"post","link":"https:\/\/remotion.rehab\/fr\/seated-digital-rehabilitation-goals-adaptations\/","title":{"rendered":"R\u00e9\u00e9ducation num\u00e9rique en position assise : construire une activit\u00e9 utile pour la personne"},"content":{"rendered":"

Choosing a seated position changes how an activity is organised, but it does not define its therapeutic purpose. A person may work on selecting an item, planning a sequence, reaching within an assessed range or communicating a choice. The starting question remains: what does this person want or need to do in everyday life?<\/p>\n

A touchscreen or another suitable digital tool can help structure practice. It should fit the person\u2019s positioning and access needs, with a clear connection between what happens on the screen and what the therapist hopes to support outside the session.<\/p>\n

Sitting is a configuration, not a clinical goal<\/h2>\n

An adult might practise identifying what to take on an outing while seated at a table. Another person might work on a selected upper-limb movement. These activities have different purposes even if both use the same screen and chair.<\/p>\n

Explain the intended task before selecting the game. Is the goal to make a choice, organise steps, use a particular movement or participate with less assistance? Avoid describing every seated activity as balance training or arm rehabilitation simply because movement occurs.<\/p>\n

NICE\u2019s stroke rehabilitation guideline connects sessions with individual goals and needs, including fatigue, and recommends repetitive practice of relevant tasks for upper-limb weakness. This supports a task-focused approach after stroke; it does not validate a specific digital product or prescribe one seated setup for everyone. [1]<\/p>\n

Check positioning before interpreting performance<\/h2>\n

The chair, support surfaces and device belong in the activity plan. Check whether the person is comfortable, can maintain an appropriate position and can access the controls without an unplanned reach. Consider the screen\u2019s height, angle, distance and reflections, as well as the assistance needed to begin and leave the activity.<\/p>\n

For a wheelchair user, keep the person\u2019s assessed seating arrangement in mind. Do not remove supports, change cushions or alter positioning simply to fit the equipment. Any adjustment should be appropriate to the person and undertaken by someone competent to make it.<\/p>\n

Seated does not mean risk-free. Discomfort, loss of postural control, fatigue or difficulty communicating a need to stop may still matter. A digital score cannot tell the therapist whether the setup is suitable.<\/p>\n

Separate the task from the way it is controlled<\/h2>\n

Someone who can choose the right object may be unable to tap a small target accurately. A missed selection can reflect access difficulty rather than misunderstanding. First establish how the person can respond: direct touch, a compatible alternative input or a supported response where appropriate.<\/p>\n

Enlarging a target or moving the screen can make access easier, but may also change the movement demand. Likewise, having a therapist operate the screen can preserve a choice-making activity while removing independent device operation. Document what the person actually did.<\/p>\n

Example: preparing an outing<\/h2>\n

This original planning example is intended for a qualified professional and an adult assessed as suitable. It is not a validated protocol or a home-exercise prescription.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Planning element<\/th>\nIllustrative approach<\/th>\n<\/tr>\n<\/thead>\n
Everyday objective<\/td>\nChoose useful items for a personally relevant outing.<\/td>\n<\/tr>\n
Context<\/td>\nIndividual supervised session in an assessed seated position.<\/td>\n<\/tr>\n
Task<\/td>\nSelect an item on screen, then discuss or locate the corresponding real object.<\/td>\n<\/tr>\n
Configuration<\/td>\nAdjust screen position, target size, number of choices and timing where supported.<\/td>\n<\/tr>\n
Observable information<\/td>\nSelections, unintended inputs, prompts, actual assistance, comfort and strategy.<\/td>\n<\/tr>\n
Easier version<\/td>\nFewer choices, clearer instructions, an accessible response method or a real-object alternative.<\/td>\n<\/tr>\n
Progression<\/td>\nChange one relevant demand, such as an additional choice, while checking access again.<\/td>\n<\/tr>\n
Cautions<\/td>\nPause for concerning symptoms, discomfort, loss of safe control, fatigue or a request to stop.<\/td>\n<\/tr>\n
Documentation<\/td>\nRecord the objective, positioning, controls, settings, assistance and next decision.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

The software and equipment may not support every adjustment in this table. The example describes a planning approach, not a list of confirmed Remotion features.<\/p>\n

Keep real activities in the picture<\/h2>\n

Selecting an image of a cup is different from grasping a cup, carrying it or preparing a drink. A digital task can provide a starting point for discussion or practice, but success on screen does not establish success with real objects.<\/p>\n

Where appropriate, connect the activity with a practical step: identify the real object, explain a choice or try part of the everyday task in an assessed setting. Ask the person whether the activity feels relevant and what remains difficult.<\/p>\n

Progress according to the goal, not the leaderboard<\/h2>\n

More targets, faster responses or longer sessions are not automatically better. A useful change might be clearer independent choices, less prompting or more comfortable access. Conversely, a higher score achieved with much more assistance may not represent progress towards the intended goal.<\/p>\n

Compare sessions only with their conditions visible. A different chair, screen position, input method or instruction can affect the result. Distinguish software-recorded events from clinical observations; do not present taps or response times as validated measures of independence or recovery.<\/p>\n

Review the activity with the person<\/h2>\n

End by checking comfort, perceived usefulness and the relationship to the original objective. Decide whether to repeat comparable conditions, change the setup, practise more directly with real objects or choose another medium.<\/p>\n

Seated digital rehabilitation has value when the position and technology help the person engage in a purposeful activity. The therapist\u2019s role is to keep that purpose visible and adapt the task accordingly.<\/p>\n

Discuss your goals and setting with the Remotion team via the website contact page. Confirm the access options and intended use of the specific configuration before choosing an activity.<\/p>\n

References<\/h2>\n
    \n
  1. NICE. Stroke rehabilitation in adults. NG236. Recommendations, especially 1.2.19 and 1.13.20. https:\/\/www.nice.org.uk\/guidance\/ng236\/chapter\/Recommendations<\/a> \u2014 checked 25 October 2026. Stroke-specific guidance, not evidence of a Remotion product effect.<\/li>\n<\/ol>\n

    Contact Remotion<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

    Choosing a seated position changes how an activity is organised, but it does not define its therapeutic purpose. A person may work on selecting an item, planning a sequence, reaching within an assessed range or communicating a choice. The starting question remains: what does this person want or need to do in everyday life? A touchscreen or another suitable digital tool can help structure practice. It should fit the person\u2019s positioning and access needs, with a clear connection between what happens on the screen and what the therapist hopes to support outside the session. Sitting is a configuration, not a clinical goal An adult might practise identifying what to take on an outing while seated at a table. Another person might work on a selected upper-limb movement. These activities have different purposes even if both use the same screen and chair. Explain the intended task before selecting the game. Is the goal to make a choice, organise steps, use a particular movement or participate with less assistance? Avoid describing every seated activity as balance training or arm rehabilitation simply because movement occurs. NICE\u2019s stroke rehabilitation guideline connects sessions with individual goals and needs, including fatigue, and recommends repetitive practice of relevant tasks for upper-limb weakness. This supports a task-focused approach after stroke; it does not validate a specific digital product or prescribe one seated setup for everyone. [1] Check positioning before interpreting performance The chair, support surfaces and device belong in the activity plan. Check whether the person is comfortable, can maintain an appropriate position and can access the controls without an unplanned reach. Consider the screen\u2019s height, angle, distance and reflections, as well as the assistance needed to begin and leave the activity. For a wheelchair user, keep the person\u2019s assessed seating arrangement in mind. Do not remove supports, change cushions or alter positioning simply to fit the equipment. Any adjustment should be appropriate to the person and undertaken by someone competent to make it. Seated does not mean risk-free. Discomfort, loss of postural control, fatigue or difficulty communicating a need to stop may still matter. A digital score cannot tell the therapist whether the setup is suitable. Separate the task from the way it is controlled Someone who can choose the right object may be unable to tap a small target accurately. A missed selection can reflect access difficulty rather than misunderstanding. First establish how the person can respond: direct touch, a compatible alternative input or a supported response where appropriate. Enlarging a target or moving the screen can make access easier, but may also change the movement demand. Likewise, having a therapist operate the screen can preserve a choice-making activity while removing independent device operation. Document what the person actually did. Example: preparing an outing This original planning example is intended for a qualified professional and an adult assessed as suitable. It is not a validated protocol or a home-exercise prescription. Planning element Illustrative approach Everyday objective Choose useful items for a personally relevant outing. Context Individual supervised session in an assessed seated position. Task Select an item on screen, then discuss or locate the corresponding real object. Configuration Adjust screen position, target size, number of choices and timing where supported. Observable information Selections, unintended inputs, prompts, actual assistance, comfort and strategy. Easier version Fewer choices, clearer instructions, an accessible response method or a real-object alternative. Progression Change one relevant demand, such as an additional choice, while checking access again. Cautions Pause for concerning symptoms, discomfort, loss of safe control, fatigue or a request to stop. Documentation Record the objective, positioning, controls, settings, assistance and next decision. The software and equipment may not support every adjustment in this table. The example describes a planning approach, not a list of confirmed Remotion features. Keep real activities in the picture Selecting an image of a cup is different from grasping a cup, carrying it or preparing a drink. A digital task can provide a starting point for discussion or practice, but success on screen does not establish success with real objects. Where appropriate, connect the activity with a practical step: identify the real object, explain a choice or try part of the everyday task in an assessed setting. Ask the person whether the activity feels relevant and what remains difficult. Progress according to the goal, not the leaderboard More targets, faster responses or longer sessions are not automatically better. A useful change might be clearer independent choices, less prompting or more comfortable access. Conversely, a higher score achieved with much more assistance may not represent progress towards the intended goal. Compare sessions only with their conditions visible. A different chair, screen position, input method or instruction can affect the result. Distinguish software-recorded events from clinical observations; do not present taps or response times as validated measures of independence or recovery. Review the activity with the person End by checking comfort, perceived usefulness and the relationship to the original objective. Decide whether to repeat comparable conditions, change the setup, practise more directly with real objects or choose another medium. Seated digital rehabilitation has value when the position and technology help the person engage in a purposeful activity. The therapist\u2019s role is to keep that purpose visible and adapt the task accordingly. Discuss your goals and setting with the Remotion team via the website contact page. Confirm the access options and intended use of the specific configuration before choosing an activity. References NICE. Stroke rehabilitation in adults. NG236. Recommendations, especially 1.2.19 and 1.13.20. https:\/\/www.nice.org.uk\/guidance\/ng236\/chapter\/Recommendations \u2014 checked 25 October 2026. Stroke-specific guidance, not evidence of a Remotion product effect. Contact Remotion<\/p>\n","protected":false},"author":1,"featured_media":3323,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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